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半躺式母乳喂养方式对哺乳期乳房损伤和产妇满意度的干预研究(1)
http://www.100md.com 2019年11月5日 《中国实用医药》 2019年第31期
     【摘要】 目的 观察半躺式母乳喂养方式对哺乳期乳房损伤和产妇满意度的干预。方法 98例行产后访视的产妇作为研究对象, 随机分为对照组和干预组, 每组49例。对照组产妇实施传统哺乳体位的母乳喂养, 干预组产妇实施回归生物本能的半躺式母乳喂养。比较两组产妇产后1、2、4周乳头疼痛、乳头皲裂发生情况及哺乳依从性、哺乳满意情况。结果 干预组产后1周的乳头疼痛率10.20%、乳头皲裂率4.08%均低于对照组的26.53%、16.33%, 产后2周乳头疼痛率6.12%、乳头皲裂率2.04%均低于对照组的20.41%、14.29%, 产后4周乳头疼痛率2.04%、乳头皲裂率2.04%均低于对照组的14.29%、14.29%, 差异均具有统计学意义(P<0.05)。干预组产妇的哺乳总满意率为97.96%, 明显高于对照组的87.76%, 差异具有统计学意义(P<0.05)。干预组产后1、2、4周的哺乳依从率分别为87.76%、95.92%、97.96%, 均高于对照组的67.35%、73.47%、83.67%, 差异均具有统计学意义(P<0.05)。结论 在母乳喂养中采取半躺式母乳喂养方式, 可明显降低哺乳期乳房损伤, 提升产妇对母乳喂养的依从性, 提高哺乳的滿意率, 效果理想。

    【关键词】 半躺式母乳喂养;哺乳期乳房损伤;产妇满意度

    DOI:10.14163/j.cnki.11-5547/r.2019.31.009

    Intervention of semi-lying breast-feeding on breast injury and maternal satisfaction during lactation LIU Hai-xia, CHEN Li, DI Hui-min. Department of Obstetrics and Gynecology, Shenzhen Nanshan District Headquarters of Medical Group, Shenzhen 518055, China

    【Abstract】 Objective To observe the intervention of semi-lying breast-feeding on breast injury and maternal satisfaction during lactation. Methods A total of 98 maternal women with postpartum visits as study subjects were randomly divided into control group and intervention group, with 49 cases in each group. Traditional breast-feeding position was used in the control group, and the semi-lying breast-feeding returning to biological instinct was used in the intervention group. The occurrence of nipple pain and cracked nipple at 1, 2 and 4 weeks postpartum, breastfeeding compliance and breastfeeding satisfaction was compared in two groups. Results At 1 week postpartum, the nipple pain rate 10.20% and cracked nipple rate 4.08% in the intervention group was lower than 26.53% and 16.33% in the control group. At 2 weeks postpartum, the the nipple pain rate 6.12% and cracked nipple rate 2.04% in the intervention group was lower than 20.41% and 14.29% in the control group. At 4 weeks postpartum, the the nipple pain rate 2.04% and cracked nipple 2.04% was lower than 14.29% and 14.29%. Their difference was statistically significant (P<0.05). The total satisfaction of breastfeeding was 97.96% in the intervention group was obviously higher than 87.76% in the control group, and the difference was statistically significant (P<0.05). The breastfeeding compliance rate at 1, 2 and 4 weeks postpartum were 87.76%, 95.92% and 97.96% respectively in the intervention group, which was higher than 67.35%, 73.47% and 83.67% in the control group, and their difference was statistically significant (P<0.05). Conclusion Semi-lying breast-feeding position shows ideal effect in breastfeeding. It can significantly reduce breast injury during lactation, improve maternal compliance with breast-feeding and improve breast-feeding satisfaction rate., 百拇医药(刘海霞 陈丽 邸慧敏)
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